with contrast—to assess the level of reflux and evidence of damage
Upper GI endoscopy
—use of a tube attached to a viewing device called an endoscope to examine the inside of the lining of the esophagus and stomach
may also be taken)
Manometry—a test to measure the muscular contractions inside the esophagus and its response to swallowing
Leading up to the surgery:
Talk to your doctor about your medications. You may be asked to stop taking some medications up to one week before the procedure.
Arrange for a ride to and from the hospital. Also, arrange for help at home.
The night before, eat a light meal. Do not eat or drink anything after midnight.
will be used. It will block any pain and keep you asleep through the surgery.
Description of the Procedure
A wide incision will be made in the abdomen. This is to expose the stomach and lower esophagus. The upper portion of the stomach will be wrapped around the esophagus. This will create pressure on the lower part of the esophagus. It will reduce the chance of stomach acid moving up the esophagus. If a hiatal hernia exists, the stomach will be placed entirely back in the abdomen. The opening in the diaphragm where the hernia poked through will be tightened.
How Long Will It Take?
How Much Will It Hurt?
You will have discomfort during recovery. Ask your doctor about medication to help with the pain.
Average Hospital Stay
After the procedure, you can expect the following:
You will walk with assistance the day after surgery.
You will start by eating a liquid diet. You will slowly be able to eat more solid foods.
After a successful fundoplication, you may no longer need to take medications for GERD.
It will take about 6 weeks to recover.
Call Your Doctor
Call your doctor if any of these occur:
Signs of infection, including fever and chills
Redness, swelling, increasing pain, excessive bleeding, or any discharge from the incision site
Persistent nausea or vomiting
Increased swelling or pain in the abdomen
Difficulty swallowing that does not improve
Pain that you cannot control with the medications you were given
Pain, burning, urgency or frequency of urination, or persistent bleeding in the urine
Cough, shortness of breath, or chest pain
New or unexpected symptoms
If you think you are having an emergency, call for emergency medical services right away.
Gastroesophageal reflux disease (heartburn). The Ohio State University Wexner Medical Center website. Available at: https://wexnermedical.osu.edu/digestive-diseases/heartburn. Accessed January 10, 2018.
Nissen fundoplication. MUSC Health Digestive Disease Center website. Available at: http://ddc.musc.edu/public/surgery/laparoscopic/fundoplication.html. Accessed January 10, 2018.
Last reviewed November 2018 by
EBSCO Medical Review Board
Daus Mahnke, MD
Last Updated: 12/20/2014
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